In a descriptive study designed to correlate changes in the level of adrenal cortical function with other metabolic phenomena occurring during the evolution of experimental diabetic acidosis it was observed (1) that eosinopenia and an increase in the rate of corticosteroid excretion are comparatively late features of ketoacidosis induced by the omission of insulin. A close temporal relation was found to obtain between evidences of increased adrenal activity and the following metabolic events: (a) An acceleration in the rate of catabolism of protoplasm; (b) a loss of potassium in excess of nitrogen; and (c) a decreased sensitivity to injected insulin. In some, but not all, experiments it appeared that adrenal activation was related in time to the occurrence of increased lipemia and ketonemia as well.In this paper are presented the results of experiments designed to ascertain whether the above events, temporally linked to increased adrenal activity, can, in fact, be regarded as adrenal conditioned. The postulates underlying these experiments are that metabolic reactions dependent upon increased adrenal activity for their initiation or maintenance should be susceptible to: (a) Premature induction by exogenous stimulation of the adrenal cortex during mild stress; and (b) diminution or suppression by maintenance of a fixed Accordingly, the experiments comprise a comparison between the metabolic changes which characterize the stressful terminal phases of insulin deprivation in the depancreatized dog and: (a) The changes which accompany the induction of a comparable degree of eosinopenia by the administration of ACTH to a depancreatized dog deprived of insulin for a relatively brief period; and (b) the changes which accompany the withdrawal of insulin from an adrenalectomized-depancreatized animal maintained upon a fixed dose of adrenal cortical hormones.
EXPERIMENTAL PROCEDUREResponse of the depancreatized dog to exogenous stimulation of the adrenal cortex. A balance study was performed upon an animal (Frisky) whose metabolic response to insulin deprivation had been well established by previous withdrawal experiments (1). After being stabilized on the same diet as had been employed for previous balance studies, the From the results of previous experiments it was known to restore the pre-adrenalectomy insulin requirement. that a loss of excess potassium, presumably associated The maintenance regime upon which the animal was ultiwith hepatic glycogenolysis, would occur during the mately stabilized comprised: (a) 12-hourly feedings confirst 12 hours and that the losses of nitrogen and potas-taining 30 mEq. of sodium and 65 mEq. each of potassium sium would be in protoplasmic proportion during the and chloride, and (b) 12-hourly administration of 25 to succeeding 24 hours. 30 units of crystalline insulin subcutaneously, and of 2.25 Response of the adrenalectomized-depancreatised dog to mg. of desoxycorticosterone acetate and 10 mg. of cortiinsulin deprivation. A balance study was performed upon sone acetate intramuscula...